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Hospital Medicine 2020 Deferral

PHM20 Deferral Form

If you prefer to defer your fees in full to Pediatric Hospital Medicine 2020 Virtual please provide the following information by May 4, 2020:

= Required Field

Request to defer to PHM20 Virtual

*By submitting this form, I authorize my PHM20 registration fees that have been paid to date to be applied towards the PHM20 Virtual offering.